Form LG220A at a glance
What it is: Minnesota Lawful Gambling LG220A Exempt Permit Financial Report.
Where and when to file: Email or mail to the Gambling Control Board within 30 days of the gambling activity date.
Who signs: The Current CEO signs: enter the Print Name of Current CEO, Phone, Signature of Current CEO, Date Signed and Email.
By state law, organizations that received an exempt permit (using the LG220 application form) are required to submit a financial report within 30 days of each gambling occasion (Minn. Statutes, section 349.166, subd. 2(a)(6)).
A filled-in Form LG220A example: a church group reports one raffle

How to fill out Form LG220A, box by box
Organization Name, Activity Dates and Exempt Permit Number
Gross receipts, Expenses, Net profit and Total Value of Prizes for each activity
Distributor and Date of Purchase
More rules for Form LG220A
Your organization must keep all exempt raffle records and reports for 3-1/2 years (Minn. Statutes, section 349.166, subd. 2(f)).
Questions? Contact the Licensing Specialist assigned to your county by calling 651-539-1900.
Common questions about Form LG220A
Is there a deadline?
Email or mail to the Gambling Control Board within 30 days of the gambling activity date.
Where do I file it?
Mail or email to the Minnesota Gambling Control Board, 1711 W County Road B, Suite 300 South, Roseville, MN 55113, EMAIL: gcb.financialreports@state.mn.us.
Sources
[1] Form LG220A, Exempt Permit Financial Report, Minnesota Gambling Control Board (the Official source link on this page).




